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Pennsylvania rates for HCPCS 22859

Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.59 / $2,070.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.44 / $378.44 / $378.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$37.13 / $37.13 / $37.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,070.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.44 / $378.44 / $378.44
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$37.13 / $37.13 / $37.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.27 / $324.27 / $384.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00